Enrique Hanabergh, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME0031803 Issued in FL

Practice address

21110 Biscayne Blvd
Suite #206
Aventura, FL 33180-1227

Phone

(305) 933-2111

Fax

(305) 933-3203

NPI assigned

Oct 19, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Biscayne Echo Associates Inc

  • Cardiovascular Disease Physician
  • Aventura, FL
  • NPI 1013924646
  Medicare reassignment NPD
• Biscayne Ekg Associates Inc

  • Cardiovascular Disease Physician
  • Aventura, FL
  • NPI 1447267034
  Medicare reassignment NPD
• Jimenez Medical Center, Inc.

  • Clinic/Center
  • Miami, FL
  • NPI 1831506997

  Cardiovascular Disease

  Medicare reassignment NPD
• E Gorin & E Hanabergh MD PA

  • Cardiovascular Disease Physician
  • Aventura, FL
  • NPI 1245229582
  Medicare reassignment
• Hector B Jimenez MD PA

  • Cardiovascular Disease Physician
  • Miami, FL
  • NPI 1174660005
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274832000000",
    "number": "1821087156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE #206",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-933-2111",
            "fax_number": "305-933-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21110 BISCAYNE BLVD",
            "address_2": "SUITE #206",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331801227",
            "telephone_number": "305-933-2111",
            "fax_number": "305-933-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANABERGH",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2010-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME0031803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039670200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven G Halepas Jr., MD, DMD
• Brian Hall, ARNP
• Rafat Hamdan
• Erik-Jon Hammond, DO
• Enrique Hanabergh Jr., M.D.
• Douglas Michael Handley, O.D.
• Lavonda Ruth Hankerson
• Christopher N Hanner, MD
• Adela Haratz, DDS
• Antonia Jane Harris, MD

• Cardiovascular Disease Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.